Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition.

Improved medical care has resulted in a documented increase in cancer survivors in the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value.

[1]  L. Mackenzie,et al.  Women's experiences of cognitive changes or 'chemobrain' following treatment for breast cancer: a role for occupational therapy? , 2014, Australian occupational therapy journal.

[2]  A. Mehnert.  Employment and work-related issues in cancer survivors. , 2011, Critical reviews in oncology/hematology.

[3]  M. Perry,et al.  Cognitive and Psychological Factors Associated with Early Posttreatment Functional Outcomes in Breast Cancer Survivors , 2009, Journal of psychosocial oncology.

[4]  Howard S. Smith,et al.  Persistent pain after breast cancer treatment. , 2013, Annals of palliative medicine.

[5]  J. M. Gray,et al.  Putting occupation into practice: occupation as ends, occupation as means. , 1998, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[6]  Actions and personal attributes of community-dwelling older adults to maintain independence , 2007 .

[7]  J. Root,et al.  Cancer- and cancer treatment-associated cognitive change: an update on the state of the science. , 2012, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[8]  M. Radina,et al.  Post-Breast Cancer Lymphedema and the Family: A Qualitative Investigation of Families Coping With Chronic Illness , 2001 .

[9]  A. Molassiotis,et al.  Qualitative research into the symptom experiences of adult cancer patients after treatments: a systematic review and meta-synthesis , 2012, Supportive Care in Cancer.

[10]  Gudrun Palmadottir.  The Road to Recovery: Experiences and Occupational Lives of Icelandic Women with Breast Cancer , 2009, Occupational therapy in health care.

[11]  T. Furukawa,et al.  Patient's perceived need and psychological distress and/or quality of life in ambulatory breast cancer patients in Japan , 2011, Psycho-oncology.

[12]  Eric J. Hwang,et al.  Functional Deficits and Quality of Life Among Cancer Survivors: Implications for Occupational Therapy in Cancer Survivorship Care. , 2015, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[13]  M. Stillman,et al.  Chemotherapy-induced peripheral neuropathy. , 2005, Oncology nursing forum.

[14]  P. Ganz,et al.  Cancer survivorship and cancer rehabilitation: revitalizing the link. , 2012, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  S. Breukink,et al.  Physical and psychological effects of treatment on sexual functioning in colorectal cancer survivors. , 2013, The journal of sexual medicine.

[16]  Polly Ryan,et al.  The Individual and Family Self-Management Theory: background and perspectives on context, process, and outcomes. , 2009, Nursing outlook.

[17]  R K Synderman,et al.  Cancer--a chronic disease. , 1970, Plastic and reconstructive surgery.

[18]  A. J. van der Beek,et al.  Predictors of return to work and employment in cancer survivors: a systematic review. , 2013, European journal of cancer care.

[19]  S. Fosså,et al.  Cancer patients’ needs for rehabilitation services , 2011, Acta oncologica.

[20]  Alix G. Sleight,et al.  Toward a Broader Role for Occupational Therapy in Supportive Oncology Care. , 2016, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[21]  J. Steiner,et al.  Returning to work after cancer: quantitative studies and prototypical narratives , 2010, Psycho-oncology.

[22]  F. Roila,et al.  [Cancer-related fatigue]. , 2015, Recenti progressi in medicina.

[23]  M. Donnelly,et al.  Late effects of cancer and cancer treatment—the perspective of the patient , 2015, Supportive Care in Cancer.

[24]  G. Altavilla,et al.  The chemotherapy-induced peripheral neuropathy outcome measures standardization study: from consensus to the first validity and reliability findings. , 2013, Annals of oncology : official journal of the European Society for Medical Oncology.

[25]  H. Vockins.  Occupational therapy intervention with patients with breast cancer: a survey. , 2004, European journal of cancer care.

[26]  P. Jean-Pierre,et al.  Cancer-related fatigue: the scale of the problem. , 2007, The oncologist.

[27]  H. Yuen,et al.  Managing post-therapy fatigue for cancer survivors using energy conservation training. , 2006, Journal of Allied Health.

[28]  I. Hall,et al.  Advancing Health Equity in Cancer Survivorship: Opportunities for Public Health. , 2015, American journal of preventive medicine.

[29]  M. Pahor,et al.  Daily pain and functional decline among old-old adults living in the community: results from the ilSIRENTE Study. , 2009, Journal of pain and symptom management.

[30]  Stefan Kubik,et al.  Foldi's Textbook of Lymphology: For Physicians and Lymphedema Therapists , 2007 .

[31]  C. Gwede,et al.  Head and neck cancer in the elderly population. , 2012, Seminars in radiation oncology.

[32]  C. A. Trombly,et al.  Occupational Therapy for Physical Dysfunction , 1989 .

[33]  Patricia A. Ganz,et al.  From cancer patient to cancer survivor : lost in transition , 2006 .

[34]  R. Senie,et al.  Lymphedema in a cohort of breast carcinoma survivors 20 years after diagnosis , 2001, Cancer.

[35]  D. Marcus.  Epidemiology of Cancer Pain , 2011, Current pain and headache reports.

[36]  R. Moss.  Patient perspectives: Tijuana cancer clinics in the post-NAFTA era. , 2005, Integrative cancer therapies.

[37]  T. Mitchell,et al.  ‘ Chemobrain ’ : concentration and memory effects in people receiving chemotherapy – a descriptive phenomenological studyecc , 2011 .

[38]  Lauren E. Milton,et al.  Annual Meeting—President's Address , 1945 .

[39]  J. Silver,et al.  Cancer rehabilitation may improve function in survivors and decrease the economic burden of cancer to individuals and society. , 2013, Work.

[40]  Steven Piantadosi,et al.  The prevalence of psychological distress by cancer site , 2001, Psycho-oncology.

[41]  A. Lamb,et al.  Occupational therapy in prevention and wellness: retaining relevance in a new health care world. , 2013, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[42]  S. Mohile,et al.  An update on cancer- and chemotherapy-related cognitive dysfunction: current status. , 2011, Seminars in oncology.

[43]  T. Fisher,et al.  Role of Occupational Therapy in Case Management and Care Coordination for Clients With Complex Conditions. , 2016, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[44]  L. Mackenzie,et al.  Chemobrain Experienced by Breast Cancer Survivors: A Meta-Ethnography Study Investigating Research and Care Implications , 2014, PloS one.

[45]  E. Paskett,et al.  The Epidemiology of Arm and Hand Swelling in Premenopausal Breast Cancer Survivors , 2007, Cancer Epidemiology Biomarkers & Prevention.

[46]  K. Meneses,et al.  Upper extremity lymphedema after treatment for breast cancer: a review of the literature. , 2007, Ostomy/wound management.

[47]  S. Harris,et al.  Patient perspectives on breast cancer treatment side effects and the prospective surveillance model for physical rehabilitation for women with breast cancer , 2012, Cancer.

[48]  David C Currow,et al.  Cancer as a chronic disease. , 2010, Collegian.

[49]  M. Weinberger,et al.  Occupational therapy use by older adults with cancer. , 2014, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[50]  Cindy S Tofthagen.  Patient perceptions associated with chemotherapy-induced peripheral neuropathy. , 2010, Clinical journal of oncology nursing.

[51]  M. Radomski,et al.  Toward a National Initiative in Cancer Rehabilitation: Recommendations From a Subject Matter Expert Group. , 2016, Archives of physical medicine and rehabilitation.

[52]  B. Garssen,et al.  Fatigue in cancer patients. , 1993, British Journal of Cancer.

[53]  K. Lorig,et al.  Self-management education: History, definition, outcomes, and mechanisms , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[54]  M. Stubblefield,et al.  A prospective surveillance model for physical rehabilitation of women with breast cancer , 2012, Cancer.

[55]  Anna Petronella Maria,et al.  On the road to recovery. , 2003, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[56]  Byeong‐Woo Park,et al.  Unmet Needs and Their Relationship with Quality of Life among Women with Recurrent Breast Cancer , 2012, Journal of breast cancer.